ELISA MARIE PUERTO OD
NPI 1710651245
Optometrist in Fort Myers, FL

Active since August 07, 2021PECOS Enrolled
100/100
CMS Quality Rating
1452 CLARET CT, FORT MYERS, FL 33919(239) 634-0583 Get Directions Write a Review

NPPES record last updated: August 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Elisa Marie Puerto Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISA MARIE PUERTO OD (NPI 1710651245) is an individual optometrist in Fort Myers, Florida, licensed in Florida (OPC5900) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710651245
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameELISA MARIE PUERTOCredential: OD
Location Address1452 CLARET CTFort Myers, FL 33919-3458
Mailing Address1452 Claret CtFort Myers, FL 33919-3458
Sole ProprietorNo
Enumeration DateAugust 7, 2021
NPPES CertifiedAugust 7, 2021
✔ NPI 1710651245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · OPC5900
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1452 CLARET CT, Fort Myers, FL 33919

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elisa Marie Puerto Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Elisa Puerto reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optometrist
4120 DEL PRADO BLVD
Cape Coral, FL 33904
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: Cape Coral Eye Center PA
  • 31 clinicians in this Medicare group
Optometrist
2416 W BRANDON BLVD
Brandon, FL 33511
  • Reassigned Medicare billing, Florida enrollment
  • 11 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisa Puerto's NPI number?

The NPI number for Elisa Puerto is 1710651245. It was assigned to this individual provider in the NPPES registry on August 7, 2021.

Where is Elisa Puerto located?

Elisa Puerto practices at 1452 Claret Ct, Fort Myers, FL 33919. The listed phone number is (239) 634-0583.

What is Elisa Puerto's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Elisa Puerto enrolled in Medicare?

Yes. Elisa Puerto is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Elisa Puerto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elisa Puerto reassigns Medicare benefits to 2 organizations: Cape Coral Eye Center, P.A. (Cape Coral, FL) and Suncoast Eyecare Centers PLLC (Brandon, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elisa Puerto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elisa Puerto accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Elisa Puerto as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elisa Puerto was last updated on August 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.